2013年医院感染现患率调查分析.docxVIP

2013 年医院感染现患率调查分析 摘要：目的 了解医院感染现患率及抗菌药物使用现况，为进一步完善医院感染管理的监控方案、开展目标性监 测等工作提供可靠依据。方法 采用床旁和病案调查相结合的方式，对当日全院所有患者进行医院感染现患率调查。结 果 应查 1493 例，实际调查 1484 人，实查率 99.4%；医院感染现患率为 3.03%；其中下呼吸道感染 18 例，占总感染例数 的 40%，为医院感染最多的部位。 抗茵药物使用率为 39.82%，一联用药占 82.57%，二联用药占 15.74%，三联及以上用药 占 0.34%。细菌培养标本送检率为 62.06%。医院感染主要病原菌为鲍曼不动杆菌。结论 本次医院感染现患率调查比较真实地反映了我院医院感染情况，应加强高感染科室、高感 染部位的医院感染预防与控制，提高病原学标本送检质量，有效指导临床合理使用抗菌药物，以降低医院感染发生率。 关键词：医院感染；现患率；调查分析 Abstract ：Objective To investigate the prevalence rate in a hospital and the use of antibacterial agents ， and to provide a reliable basis for further improving the monitoring solutions to hospital infection management and carrying out targeted surveillance work. Methods A combination of bedside testing and medical records review was employed to explore the prevalence rate of all patients in the hospital the day. Results 1493 cases should be inspected and 1484 were actually tested ， with a real rate of 99.4%. The nosocomial infection prevalence rate was 3.03%， among which 18 cases belonged to lower respiratory infection ， making up 40% of cases of infection and becoming the most infectious part in the hospital. The antibacterial drug use rate was 39.82% ； one-combination drug accounted for 82.57% ； dual-combination drug accounted for 15.74%， and triple-combination or more drug accounted for 0.34%. Specimens sent for bacterial culture was 62.06%. The inspection rate of bacterial culture specimens was 62.06% ， and the main pathogenic bacterium of nosocomial infection was Acinetobacter baumannii. Conclusion The prevalence survey of nosocomial infection truly reflected our hospitals infection. Prevention and control of nosocomial infection between highly infectious departments and highly infectious parts should be strengthened. Also ， the quality of pathogenic specimens inspection should be improved to effectively guide clinical and rational use of antimicrobial drugs to reduce the incidence of nosocomial infection. Key words： Nosocomial infection ； Prevalence